Blythedale Children'S Hospital

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

BLYTHEDALE CHILDREN'S HOSPITAL

Practice address

95 Bradhurst Ave
Valhalla, NY 10595-1637

Phone

(914) 592-7555

NPI assigned

Aug 29, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Regina M Kelly

Title

Chief Govt. Relations Officer

Phone

(914) 831-2592

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335874

Legal name

BLYTHEDALE CHILDREN'S HOSPITAL

Doing business as

STEVEN AND ALEXANDRA COHEN PEDIATRIC LONG TERM CARE PAVILION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 23, 2016

Last certification

Aug 29, 2024

Beds

24

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 23, 1948 in NY

Enrollment address

95 Bradhurst Ave
Valhalla, NY 10595-1637

Nursing home name

THE STEVEN AND ALEXANDRA COHEN PED L T C PAVILION

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Blythedale Children'S Hospital

  • Children's Rehabilitation Hospital
  • Valhalla, NY
  • NPI 1679573083

  2961680616

  Same PAC ID

Listed as

The Steven And Alexandra Cohen Ped L T C PavilionCCN 335874 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Sep 23, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

2423.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Ashe, MD

  • Pediatrics Physician
  • Valhalla, NY
  • NPI 1710060413
  NPD (past)
• Doris Lynn Rivera-Araujo, MD

  • Pediatrics Physician
  • White Plains, NY
  • NPI 1821318247
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1528468253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 BRADHURST AVE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 BRADHURST AVE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951637",
            "telephone_number": "914-592-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLYTHEDALE CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF GOVT. RELATIONS OFFICER",
        "authorized_official_telephone_number": "914-831-2592"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Rae Block, LCSW
• Vincent Blood, M.D.
• Pooa Bloomberg
• Laura Blum
• Blythedale Children'S Hospital
• Blythedale Children'S Hospital
• Blythedale Children'S Hospital
• Blythedale Children'S Hospital
• Blythedale Children'S Hospital
• Blythedale Childrens Hospital

• Pediatric Skilled Nursing Facility in Valhalla, NY
• Providers in Valhalla, NY by specialty
• Pediatric Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.